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KMID : 0390320170270020023
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Chungbuk Medical Journal
2017 Volume.27 No. 2 p.23 ~ p.26
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Middle Cerebral Artery Infarction Associated with Tuberculous Meningitis
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Shin Jae-Won
Lee Sang-Kil
Yeo Min-Ju
Shin Dong-Ick
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Abstract
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Tuberculous meningitis is caused by the spread of Mycobacterium tuberculosis from another site in the body.This paper describes a patient with a middle cerebral artery infarction that occurred secondary to tuberculous meningitis. A 76-year-old man presented to our hospital with severe dysarthria and sudden right hemiparesis. The patient had no underlying disease and had been experiencing dysarthria with jaw pain and headache in the temporal area for about one month. Magnetic resonance imaging (MRI) showed an infarction in the left MCA territory, including the left temporal lobe, left periventricular white matter, and left internal capsule. Results of cerebrospinal fluid (CSF) analysis suggested tuberculous
meningitis. After starting on anti-tuberculous medication and high doses of corticosteroids, the patient's neurological symptoms partially improved.Because the outcome of a stroke in tuberculous meningitis can be poor, and depends on when treatment with steroid and anti-tuberculous medications is initiated, the possibility of tuberculous meningitis should be considered in situations similar to that obtaining in our case.
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KEYWORD
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tuberculous meningitis, middle cerebral artery infarction, cerebrospinal flui
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